【摘要】 心电图是决策急性心肌梗死再灌注治疗时机的基石。但ST段抬高型心肌梗死不是引起ST段抬高的惟一原因。ST段抬高的最常见原因为左室肥厚、左束支阻滞、早期复极以及室壁瘤。这些情况可能被误诊为ST段抬高型心肌梗死 ,而引起不应该的溶栓治疗或急诊冠状动脉造影。因此 ,要熟悉非急性心肌梗死性ST段抬高的心电图线索才有助于与真正的急性心肌梗死相鉴别。更多还原

【Abstract】 Electrocardiography is very important in deciding the occasion to use reperfusion therapy for acute myocardial infarction . But acute ST-segment elevation myocardial infarction is not the only cause of ST-segment elevation. The most common reasons of ST-segment elevation are left ventricular hypertrophy, left bundle-branch block, early repolarization syndrome and ventricular aneurysm.Some of these conditions can be misdiagnosed as acute myocardial infarction and treated by unwarranted thrombolytic agents or emergency angiography. Familiar to the ectrocardiography manifestations about ST-segment elevation not caused by acute myocardial infarction is very helpful to differentiate these diseases.更多还原